Velocity Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VELOCITY HOME HEALTHCARE LLC

Practice address

13800 Coppermine Rd. Suite 113
Herndon, VA 20171-6163

Phone

(703) 574-3281

Fax

(703) 574-2930

NPI assigned

Mar 18, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda Charmaine Beaufort, PT, DPT

Title

Ceo & Administrator

Phone

(703) 574-3281

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Home health agency certification: CCN 497767

Legal name

VELOCITY HOME HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 23, 2020

Last certification

Jan 23, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 18, 2018 in VA

Enrollment address

698 Pine St
Herndon, VA 20170-4600

Listed as

Velocity Home Healthcare LLCCCN 497767

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Jan 23, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• William Patrick Petersen Jr., M.D., M.P.H.

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1003250887

  Home health agency

  Care Compare affiliation
• Joseph Raymond O'Brien, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Bethesda, MD
  • NPI 1437109907

  Home health agency

  Care Compare affiliation
• Tushar CH. Patel, M.D.

  • Orthopaedic Surgery Physician
  • Chevy Chase, MD
  • NPI 1922021997

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1972062115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 COPPERMINE RD. SUITE 113",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716163",
            "telephone_number": "703-574-3281",
            "fax_number": "703-574-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 COPPERMINE RD. SUITE 113",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716163",
            "telephone_number": "703-574-3281",
            "fax_number": "703-574-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCITY HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "BEAUFORT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CHARMAINE",
        "authorized_official_title_or_position": "CEO & ADMINISTRATOR",
        "authorized_official_telephone_number": "703-574-3281",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972062115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip J Vahab, DDS, MS
• Valery Valenzuela
• Abigail Vanderweyden
• Vajeh Vatankhahi, DC
• Wendy Velazco-Weiss
• Vinaya Vemulapalli, MSPT
• Mojdeh Vessali, DDS
• Alexis Marie Vicchio, MS
• Kristin Vidwans, P.A.
• Kimtracy Villarin, BCBA, LBA

• Home Health Agency in Herndon, VA
• Providers in Herndon, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.